Individual provider Active NPI

Sierra D. McFan, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1578046009
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59213 Issued in TX
Practice address
2332 Beverly Hills Dr
Ft Worth, TX 76114
Phone
(817) 378-0855
Fax
(817) 378-0861
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 59213 TX Primary

Addresses

Primary practice location

2332 Beverly Hills Dr
Ft Worth, TX 76114

Mailing address

2332 Beverly Hills Dr
Ft Worth, TX 76114
Phone (817) 378-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601002359 TX Practitioner - Clinical Social Worker 0143565747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Current Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Jul 1, 2021 Accepting new patients
Kotel Atx PLLC PastSince May 23, 2022 Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770

706 Hunters Row Ct
Mansfield, TX 76063
Phone (682) 518-8111

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1578046009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 BEVERLY HILLS DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76114",
            "telephone_number": "817-378-0855",
            "fax_number": "817-378-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 BEVERLY HILLS DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76114",
            "telephone_number": "817-378-0855",
            "fax_number": "817-378-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAN",
        "first_name": "SIERRA",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.